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[Obturator hernia]

R Gürlich1, J Lindner

  • 1I. chirurgická klinika VFN.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Obturator hernias are rare, often causing unexplained digestive issues and ileus. Early diagnosis is challenging, highlighting the need to consider predisposing factors and the Howship-Romberg sign in chronic cases.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Obturator hernias are uncommon, accounting for less than 1% of all hernias.
  • They can present with vague gastrointestinal symptoms or acute obturation ileus.

Observation:

  • Diagnosis is frequently delayed, with correct preoperative identification in only 25-33% of cases.
  • Symptoms may include chronic dyspepsia or subileus, often leading to misdiagnosis.

Findings:

  • The Howship-Romberg sign is a specific, though often overlooked, clinical indicator.
  • High mortality rates (12-70%) are associated with acute obturation ileus caused by obturator hernias.

Implications:

  • Increased clinical suspicion for obturator hernia is warranted in patients with chronic dyspeptic/subileous symptoms, especially in elderly females with weight loss.
  • Focusing on predisposing factors and the Howship-Romberg sign can improve diagnostic accuracy and patient outcomes.